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Article

J Vet Clin 2021; 38(2): 98-102

https://doi.org/10.17555/jvc.2021.04.38.2.98

Published online April 30, 2021

Clinical Features and Outcomes of Superficial Keratectomy and Conjunctival Advancement Hood Flap in Three Dogs with Different Extents of Corneal Edema

Youngsam Kim1,2, Sunhwa Nam1, Seonmi Kang2

1Dana Animal Hospital Eye Center, 2Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University

Copyright © The Korean Society of Veterinary Clinics.

Abstract

Three dogs with different extents of corneal edema were presented to the Dana Animal Hospital Eye Center. The dogs (3 eyes) were diagnosed with corneal endothelial degeneration with clinical signs of corneal edema, conjunctival hyperemia, and mild blepharospasm through a full ophthalmic examination. For the treatment of corneal edema, superficial keratectomy using a crescent microsurgical knife was performed, and a conjunctival advancement hood flap was applied to the stromal defects. In two cases where corneal edema and opacity were observed only in a part of the cornea, corneal edema was reduced and did not progress to other parts of the cornea and corneal transparency and vision were also well-maintained during the follow-up on days 349 and 231 after the surgery. In a case where the whole cornea was edematous and cloudy, corneal edema and opacity had not clearly improved at the last follow-up on day 275 after the surgery. In conclusion, SKCAHF relieved corneal edema and improved vision, and the prognosis tended to be better when there was less corneal edema caused by CED.

Keywords: conjunctival hood flap, cornea, corneal edema, dog, superficial keratectomy

Article

J Vet Clin 2021; 38(2): 98-102

Published online April 30, 2021 https://doi.org/10.17555/jvc.2021.04.38.2.98

Copyright © The Korean Society of Veterinary Clinics.

Clinical Features and Outcomes of Superficial Keratectomy and Conjunctival Advancement Hood Flap in Three Dogs with Different Extents of Corneal Edema

Youngsam Kim1,2, Sunhwa Nam1, Seonmi Kang2

1Dana Animal Hospital Eye Center, 2Department of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University

Abstract

Three dogs with different extents of corneal edema were presented to the Dana Animal Hospital Eye Center. The dogs (3 eyes) were diagnosed with corneal endothelial degeneration with clinical signs of corneal edema, conjunctival hyperemia, and mild blepharospasm through a full ophthalmic examination. For the treatment of corneal edema, superficial keratectomy using a crescent microsurgical knife was performed, and a conjunctival advancement hood flap was applied to the stromal defects. In two cases where corneal edema and opacity were observed only in a part of the cornea, corneal edema was reduced and did not progress to other parts of the cornea and corneal transparency and vision were also well-maintained during the follow-up on days 349 and 231 after the surgery. In a case where the whole cornea was edematous and cloudy, corneal edema and opacity had not clearly improved at the last follow-up on day 275 after the surgery. In conclusion, SKCAHF relieved corneal edema and improved vision, and the prognosis tended to be better when there was less corneal edema caused by CED.

Keywords: conjunctival hood flap, cornea, corneal edema, dog, superficial keratectomy